Example Javascript Form

Video Game Console Survey

First Name
Last Name

Email Address

Do you own or frequently play any of the following game consoles?

Check all that apply.

Atari (2600, 5200, 7800 etc.)
Atari Jaguar

Bandai Wonder Swan

ColecoVision

Intellivision

Neo-Geo
Neo-Geo Pocket
Neo-Geo Pocket Color

Nintendo 64
Nintendo DS
Nintendo Entertainment System
Nintendo Famicom Disk system
Nintendo Game Boy (Game Boy Pocket, Game Boy Color)
Nintendo Game Boy Advance (GBA SP, GBA Micro)
Nintendo Game Cube
Super Nintendo Entertainment System

Sega 32X
Sega CD
Sega Dreamcast
Sega Game Gear
Sega Genesis (Megadrive)
Sega Master System
Sega Nomad
Sega Saturn

Sony Playstation
Sony Playstation2
Sony PSP

TurboGrafx-16

Xbox
Xbox 360

Other

I do not own or play any video game systems.

Do you prefer cartridges or CDs?

Cartridges CDs No preference I told you, I don't play games!

Form coded in Dreamweaver and slightly edited by hand.